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NPI Code Detail

MEDICARE: GINA FIORE

MEDICARE: GINA FIORE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2104100000XSocial WorkerP03416NY
31041C0700XClinical Social Worker008638NY

General Provider Information

NPI Number : 1619369717
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINA FIORE
Provider Business Mailing Address
First Line : 1765 SOUTH AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-3604
Country : US
Telephone Number : 718-761-9800
Fax Number :
Provider Business Practice Location Address
First Line : 1765 SOUTH AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-3604
Country : US
Telephone Number : 718-761-9800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2015
Last Update Date : 07/19/2019

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Directions to “ GINA FIORE ” Practice Location

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